Provider Demographics
NPI:1407233695
Name:DEGREY, ANN NGUYEN (DPT)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:NGUYEN
Last Name:DEGREY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3329 COMMUNITY AVE
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-2555
Mailing Address - Country:US
Mailing Address - Phone:408-966-9241
Mailing Address - Fax:
Practice Address - Street 1:5926 MONTEREY RD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90042-4943
Practice Address - Country:US
Practice Address - Phone:323-503-1414
Practice Address - Fax:323-967-4415
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42242225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist